1. No category

APPLICATION FORM - INDIVIDUAL
Course Title:
From Date:
To Date:
SECTION A – Details of Applicant
Applicant Name
Gender
Postal Address
M/F
Certificate / ID Pass will
be sent to this address.
NRIC / PP No.
WP / S Pass No.
Date of Birth
Nationality
Tel No.
Mobile No.
Email
* Documents to submit for application consideration – first-come-first-served basis: (a) Copy of NRIC / Passport / S Pass / Work Permit (b) Full payment via crossed
cheque to “FLEXI INDUSTRIAL SAFETY TRAINING PTE. LTD.”, back of cheque to indicate course title and course dates (post to 67 Joo Koon Circle S629080)
We acknowledge and understand the Terms and Conditions of Services stated in
Appendix A, and in particular INSURANCE / INDEMNITY clause.
For Official Use Only
Date Received:
Invoice No.
Total Course
Fees:
Cash/Cheque No:
Receipt No.
FLEXI INDUSTRIAL SAFETY TRAINING PTE LTD
67 Joo Koon Circle, Singapore 629080
Enquiry Hotline: 6861 8568 Fax: 6898 2237
FIST-DOC(F)-14-003E
Email: [email protected]
Web: www.flexisafetytraining.com.sg